OrganizationActive
Utah Podiatry Group LLC
NPI 1093081101 · Foot & Ankle Surgery Podiatrist · Salt Lake City, UT
Provider details
- NPI number
- 1093081101
- Entity type
- Organization
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Parent organization
- Utah Podiatry Group LLC
- Organization subpart
- Yes
- Authorized official
- Scott Clark, Podiatrist(801) 505-5277
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
- Podiatrist213E00000X
Podiatric Medicine & Surgery Service Providers
Suppliers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24 S 1100 E Ste 210
Salt Lake City, UT 84102-1580
Phone: (801) 505-5277
Fax: (801) 505-5280
Street-level locationGet directions
Mailing address
Po Box 849795
Los Angeles, CA 90084-9795
Other names (DBA / former)
- Doing business as
- Advanced Foot and Ankle
- Doing business as
- Advanced Foot and Ankle
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2025-10-27
- Certified
- 2025-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.